Surgery for Distal Radius Fracture

March 9th, 2007

A fracture of the distal radius (just before the wrist joint) is common. Historically, cast treatment was the norm, and stiffness, deformity and pain were viewed as acceptable sequelae of the injury. Nowadays, however, upper extremity surgeons have become much more aggressive in terms of their willingness to recommend surgical intervention. This has evolved for a number of reasons, including higher expectations among patients, newer types of devices (plates and screws), newer and more reliable surgical techniques, and an improved understanding of what matters most with respect to providing a favorable result.

The definition of a good outcome may be different depending on the type of fracture, the age of the patient, and subsequent functional demands. These are all issues that your surgeon will discuss with you. In 2006 suffice it to say that a displaced fracture of the distal radius can be fixed better than any time in history, usually as an outpatient, and usually under a regional anesthesia.

The case on this page shows preoperative x-rays of an unstable distal radius fracture, as well as the x-rays after surgical fixation with a plate and screws (see patient resources page for more information about these devices). The plate is placed on the volar (palmar) side of the forearm, and generally is not removed. Though some loss of wrist motion is inevitable, the restoration of functional motion and grip strength is expected (see photos and demonstration video 6 Months after surgery).

Related Photos:

Preoperative x-ray

Post Operation

6 Months Post Operation

Related Videos:

6 Months Post Operation